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Any practices who find themselves in the ‘big loser category’ – losing more than £2 or £3 per patient – should contact the LMC.

The LMC update states: ‘If you haven’t already done your calculations and financial forecast either via NHS England’s funding Ready Reckoner or through your accountant, we would advise you to do so as a matter of urgency.’

‘It is absolutely crucial that you are fully aware of the impact of the contract changes on your practice budget so that you are in a position to understand in detail your current financial position and future viability.’